Facility Evaluation Report

On 4/29/22, at 9:28am, LPA arrived attempted visit at facility for infection control inspection. All staff were getting all clients on the van to the dental appointment that was arranged by Regional Center (RCEB).

On 5/2/2022 starting at 2:50 p.m., Licensing Program Analyst (LPA) Catherine Lin returned unannounced to conduct Infection Control Inspection. LPA met with Administrator, Lallie Velancia and disclosed the purpose of the visit.

During the Infection Control Inspection, LPA toured facility including but not limited to front entrance, screening station, hand washing stations, bedrooms, common areas, kitchen and backyard. There is one central entry point for universal screening for staff, residents and visitors. Facility has a sufficient 2-day perishable and one-week non-perishable food supply. Facility has Mitigation Plan, Emergency Disaster Plan, and maintains record of routine screening for residents, staff and visitors.

THE FOLLOWING DEFICIENCIES WERE OBSERVED:

· Upon entry, LPA observed the front window was broken.

· Approximately 3:06 p.m., LPA observed a closet sliding door in one bedroom was hardly slid.

The above deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations. Failure to correct deficiencies by POC date may result in additional Civil Penalties.

Exit interview conducted with Administrator. LIC809D, Appeal Rights and a copy of this report provided.